Graves’ 病眶部数字化CT表现
1 A OZGEN, MD , 2M N ALP , MD , 1M ARIYUREK , MD, 3N B TUTUNCU, MD 2 I CAN ,MD and 4I GUNALP ,MD
1放射科3内分泌科,Hacettepe 大学,医学部,安卡拉,Sihhiye
2眼科,Numune医院,安卡拉,Sihhiye, 安卡拉大学医学部,土耳其,安卡拉,Cebeci
表4.Graves’眼病中突眼的存在和眼外肌增大的形式
形式 眶部数量
(n=174)
M E 16(9)
E 15(9)
All E 12(7)
M 10
IR SMG MR E 9(5)
SMG E 8(5)
M, 内直肌; E, 突眼; All, 全部眼外肌; IR, 下直肌; SMG, 上肌群.
括号内数字代表百分比.只列出了发生百分率≥5%的样本.
参考文献
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8. Uhlenbrock D. Computerized tomography in Graves’ ophthalmopathy----evaluation regarding the muscle size and density units. Neurosurg Rev 1988;11:45-51.
9. Tallstedt L, Lundell G , Torring O, Wallin G, Ljunggren JG, Blomgren H, et al . Occurrence of ophthamopathy after treatment for Graves’ hyperthyroidism. New Engl J Med 1992;326:1733-8.
10. Hurley JR . Orbitopathy after treatment of Graves’ disease . J Nucl Med 1994;35:918-20.作者: kcop 时间: 2005-6-26 00:10
怎么没人顶呢?? 我来做个代表吧!!!!
不过楼主,下次最好把原文也贴出来,或放在附件里,让大家也学习学习嘛!!!
无论怎样,楼主是开拓精神是值得嘉许的!!!作者: 眼科医生 时间: 2005-6-26 08:15
Br J Radiol. 1999 Aug;72(860):757-62. Related Articles, Links
Quantitative CT of the orbit in Graves' disease.
Ozgen A, Alp MN, Ariyurek M, Tutuncu NB, Can I, Gunalp I.
Department of Radiology, Hacettepe University, School of Medicine, Sihhiye, Ankara, Turkey.
In order to determine the value of quantitative CT of the orbit in patients with Graves' disease, we clinically examined 174 orbits of 87 patients with Graves' disease and evaluated them by CT in respect to the density and size of the extraocular muscles, the globe position and the width of the optic nerve-sheath complex. We also determined the normal ranges for density of extraocular muscles in 200 normal orbits of 100 patients for comparison. Normal ranges for the density of extraocular muscles were (mean +/- 2 SD) medial rectus, 28-63 HU; lateral rectus, 24-78 HU; inferior rectus, 20-64 HU; superior muscle group, 28-62 HU. 51 of 77 (66%) patients with Graves' disease had extraocular muscle density changes. Some extraocular muscles showed fatty infiltration on CT. 50 of 87 (57%) patients had at least one enlarged extraocular muscle, 47 (54%) patients had exophthalmos and 59 (68%) patients had either exophthalmos and/or extraocular muscle enlargement. A diagnosis of Graves' ophthalmopathy was made in 69 of 87 (79%) patients using CT and in 50 (57%) patients by clinical examination. We conclude that quantitative CT imaging of the orbit with evaluation of the size and density values of extraocular muscles and the globe position may be very helpful in detecting ophthalmopathy in patients with Graves' disease.